Provider Demographics
NPI:1770756041
Name:FRASER, LTD
Entity type:Organization
Organization Name:FRASER, LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF BUSINESS OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:
Authorized Official - Last Name:BARTZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:701-232-3301
Mailing Address - Street 1:2902 UNIVERSITY DR S
Mailing Address - Street 2:
Mailing Address - City:FARGO
Mailing Address - State:ND
Mailing Address - Zip Code:58103-6053
Mailing Address - Country:US
Mailing Address - Phone:701-232-3301
Mailing Address - Fax:701-237-5775
Practice Address - Street 1:651 12 1/2 AVE E
Practice Address - Street 2:
Practice Address - City:WEST FARGO
Practice Address - State:ND
Practice Address - Zip Code:58078-3058
Practice Address - Country:US
Practice Address - Phone:701-232-3301
Practice Address - Fax:701-237-5775
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-08
Last Update Date:2020-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities
No251K00000XAgenciesPublic Health or Welfare